中国实用儿科杂志

中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (3): 187-191.DOI: 10.19538/j.ek2026030602

• 指南解读 • 上一篇    下一篇

美国儿童和成人脑死亡/神经病学标准死亡判定指南更新要点

  

  1. 国家儿童医学中心  首都医科大学附属北京儿童医院  a 急诊医学科，b 重症医学科，北京  100045
  • 出版日期:2026-03-06 发布日期:2026-04-22
  • 通讯作者: 钱素云，电子信箱：syqian1211@163.com
  • 基金资助:
    首都卫生发展科研专项（2024-1G-4241）

Key points in the updated guidelines for determining brain death/death by neurologic criteria in children and adults in the United States

  1. *Pediatric Intensive Care Unit，Beijing Children’s Hospital，Capital Medical University，National Center for Childrenv’s Health，Beijing  100045，China
  • Online:2026-03-06 Published:2026-04-22

摘要： 美国神经病学学会联合七大学术组织于2023年共同发布了新版脑死亡/神经病学死亡判定指南。该指南系统整合了过去10年的循证医学证据，并对临床实践存在的争议问题作出了明确回应，其内容与我国当前实施的脑死亡判定方案存在一定差异。文章旨在从诊断标准、操作规范、特殊人群处理等方面，对该指南的核心更新进行梳理和解读，以期为临床实践提供参考。

关键词:

Abstract: In 2023，the American Academy of Neurology，in collaboration with seven prominent academic organizations，released a new version of the guidelines for determining brain death/death by neurologic criteria. This guideline systematically integrates evidence-based medical evidence from the past decade and makes clear responses to controversial issues encountered in clinical practice. Its content has some differences from the current brain death determination framework implemented in China. This article aims to elucidate and interpret the core updates of this guideline by examining aspects such as diagnostic criteria， operational standards，and management of special populations，with the intention of providing valuable references for clinical practice.

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